title: Disseminated Nocardia farcinica infection in a patient with systemic lupus erythematosus.
abstract: Here, we describe a patient with disseminated systemic nocardiosis. He had a history of systemic lupus erythematosus and had received oral prednisolone for 7 months. Nocardia farcinica was isolated from the pus. There were neither clinical nor radiologic features of pulmonary nocardiosis. The patient was treated with oral trimethoprim/sulfamethoxazole, intravenous imipenem and surgical drainage with a good clinical response, and there has been no recurrence of the infection.
authors.affiliation: Department of Functional Morphology, Nihon University School of Medicine, 30-1 Oyaguchi-kamicho, Itabashi-ku, Tokyo 173-0032, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Hara
authors.affiliation: Department of Dermatology, Nihon University School of Medicine, 30-1 Oyaguchi-kamicho, Itabashi-ku, Tokyo 173-0032, Japan.
authors.forename: Fuminori
authors.initials: F
authors.lastname: Wakui
authors.affiliation: Department of Dermatology, Surugadai Nihon University Hospital, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8309, Japan.
authors.forename: Toyoko
authors.initials: T
authors.lastname: Ochiai
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003646:Debridement; D004322:Drainage; D006801:Humans; D015378:Imipenem / Q000008:administration & dosage; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009615:Nocardia / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D011239:Prednisolone / Q000008:administration & dosage; D016896:Treatment Outcome; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents; D015378:Imipenem; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D011239:Prednisolone